TODD E FUNK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008264

License Status

NOT RENEWED

Business

First Name

TODD E

Last Name

FUNK

Suffix

Business Name

TODD E FUNK OD

Original Issue Date

04/28/1994

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005